Conjungivitis and Keratitis

CONJUNGTIVITIS

Conjungtiva Inflamation
Patient with inflamation of
conjungtiva will come with complain
of red eye
The cause of red eye should be
identified, caused by subconjungtiva
bleeding or vascular vasodilation.
Subconjungtiva bleeding can be
caused by trauma, acute inflamation
of conjungtiva, and vascular disorder.

 Vascular vasodilation can be caused

by conjungtiva injection, ciliary
injection, and vasodilation of
episcleral vascular.
conjungtivitis can be classified into 4
group according to causes namely
bacterial, viral, chlamidia, and allergy
conjungtivitis.

Symptom of Conjungtivitis
Conjungtiva injection
vasodilation of posterior conjungtiva artery
Folicel
vesicel like mass is found in conjungtiva, the size is
about 1 mm.
Giant papil (cobble stone)
usually found in superior tarsus
Flicten
chronic inflamation cells under conjungtiva epithel
or cornea, as microabcess, which the surface of
epithel line necrosis.

 Membran
white mass that cover small part/mostly/all
parts of conjungtiva. It always cover tarsal
conjungtiva and found as secret which is easy
to remove. This is called as pseudomembrane.
Sikatric
typically to trachoma is soft white lines in
superior tarsalis conjungtiva. If this pass
through vascular, so the vascular would be
seens like cutten line.

Other type of Conjungtivitis

Kataral conjungtivitis
Purulent/mucopurulent conjungtivitis
Membrane conjungtivitis
Folicular conjungtivitis
acute folicular conjungtivitis can be
classified into 5 groups namely epidemial
keratoconjungtivitis, conjungtiva-faringo
fever, acute hemorrhagic conjungtivitis, new
castle conjungtivitis, and inclussion
conjungtivitis.

Cataral Conjungtivis
Clinicial manifestation: connjungtiva
injection, hyperemy tarsal
conjungtiva, without folicel, without
cobble stone, and without flicten.
Can be found as serous secret,
mucus, or mucopurulent, depend on
causes.
Cataral conjungtivitis can be found
together with blepharitis, or
nasolacrimal duct obstruction.

 Genera symptoms of this type of

conjungtivitis can be followed both
lateral and medial maseration. This
is also called as angular
conjungtivitis.
Cataral conjungtivitis can be caused
by bactery (staphylococcus aureus,
pneumococcus, morax dyplobacil
axenfeld, and bacil Koch Weeks) and
virus (like morbili).

 Treatment depend on the causes. If

bactery, should be given antibiotic
like tetrasicline, chloromisitin, and
etc. If virus, suggested gven
sulfasetamid or antiviral drugs like
IDU for herpes simplex infection.
Secret should be cleaned before
medicine given.

Purulent/mucopurulent
conjungtivitis
Clinical manifestation : pus like purulent
secret, sometimes followed by
pseudomembrane as white mass in tarsal
conjungtiva.
Found in children or adult
In adult usually caused by gonococcus
infection, and in infant usually caused by
Neisseria (gonococcus/meningococcus)
and Chlamidia infection (Chlamidia
Oculogenital)

 Treatment : patient should be cared

in isolation room.The eye secret must
be cleaned before the treatment
begins. Every or hour, eye
ointment is given. If the inflamation
is going much better, the ointment
can be given each hour. Following up
the eye is important each day if the
microorganism still found in the
secret.

Membrane Conjungtivitis